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Better data. Fewer burdens.

Drawing on professional and practice information already entered and verified by providers, the CAQH Provider Directory Management Solution improves health plan directories while reducing redundant, inefficient processes.

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Improve Directory Accuracy and Compliance

To enhance accuracy, the CAQH Provider Directory Management Solution applies advanced analytics to data entered, updated and confirmed by physician practices. This multi–layered approach improves data quality, reduces the burden on providers and supports state and federal regulatory compliance.

For delegated groups, administrators are able to centrally manage non-sensitive directory information and make changes to locations, phone numbers and other information once and push it to all providers.

Fact Sheet

A Streamlined Approach for Payers, Providers and Groups

 

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For Health Plans

Health plans obtain more accurate data and achieve greater regulatory compliance with less provider abrasion.

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For Providers

Physician practices receive fewer outreach calls from plans and are more accurately reflected in member directories.

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For Groups

Group administrators can manage directory data in one place and have changes apply to all providers.

A National Health Plan Achieves 84% Directory Accuracy

One of the nation's largest payers struggling with directory accuracy turned to CAQH for an efficient way to improve data quality without placing additional burdens on providers in its network.  

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CAQH Directory Management at a Glance

1.79 M

Confirmed provider profiles in the CAQH Directory Management Solution

1.72 M
Providers who have confirmed their directory information within the past 120 days
53
Health plans participating in the CAQH Directory Management Solution

Help members find the practitioner that is right for them

 

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Provider and Practice Details

CAQH collects information on health equity, race, ethnicity, language and other factors to help members find a provider that is right for them.

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Telehealth Availability

The provider directory management solution includes information on telehealth services offered by providers, including the type of service and platform used.

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Network Adequacy

Plans can access detailed data to assess, understand and manage provider networks.

“We have found that the quality of data received via the Directory Management solution is higher than any other attestation channel we have today.”

One of the nation's largest health plans

"My account manager delivered on-the-spot, thorough guidance to answer my question and even followed up with helpful resources."

Health plan serving communities in Massachusetts

"My account manager had an understanding of our unique needs and was able to translate that insight to support our directory management and credentialing initiatives."

Mid-size health plan in the Midwest

PROVIDER DIRECTORY MANAGEMENT

STREAMLINE BUSINESS OPERATIONS

By eliminating the need for costly and labor intensive outreach efforts to collect and confirm provider and practice information, the CAQH directory management solution enables plans save to time and money and allocate resources efficiently.

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